Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
Department of Pediatrics, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
Jpn J Ophthalmol. 2022 Mar;66(2):193-198. doi: 10.1007/s10384-021-00896-8. Epub 2022 Jan 19.
In Japan a basic preparatory ophthalmic examination is routinely performed for 3-year-old children. This study aimed to determine the value of incorporating a photoscreener into the examination and evaluate parents' satisfaction with the photoscreener examination.
Prospective study.
Children aged 42-47 months in Nagasaki City, Japan, underwent a visual acuity test by a parent at home and by automated vision screening using a photoscreener at their local municipal health center between October 2018 and March 2019. Subjects were children referred to Nagasaki University Hospital for examination after failing either test. Children previously diagnosed with strabismus and/or amblyopia were excluded. A questionnaire survey evaluated the level of satisfaction with the photoscreener-based screening by parents who attended these examinations at the local municipal health center.
Of children who completed the two tests, 52 (failed visual acuity test, 3; failed photoscreener examination, 49) were referred for examination. Of the 49 photoscreener failures, 12 were diagnosed with amblyopia: unilateral amblyopia with anisometropic hyperopia in 10 (83.3%), and bilateral amblyopia with astigmatism and hyperopia in 2 (16.7%). The photoscreener detected all 12 cases of amblyopia, whereas the home-based visual acuity test detected only two cases. More than 80% of 1035 parents were satisfied with the photoscreener examination.
Unilateral amblyopia with anisometropic hyperopia was easily overlooked with the home-based test but was detectable by photoscreener examination. The photoscreener proved to be an effective screening tool for amblyopia in children and was considered a satisfactory examination by a high proportion of parents.
在日本，三岁儿童常规进行基本的预备眼科检查。本研究旨在确定将照片筛查仪纳入检查的价值，并评估家长对照片筛查仪检查的满意度。
前瞻性研究。
日本长崎市 42-47 月龄儿童在家中由家长进行视力测试，并在 2018 年 10 月至 2019 年 3 月期间在当地市立保健中心使用照片筛查仪进行自动视力筛查。未通过两种测试的儿童将被转诊至长崎大学医院进行检查。既往诊断为斜视和/或弱视的儿童被排除在外。通过问卷调查评估了在当地市立保健中心参加这些检查的家长对基于照片筛查仪的筛查的满意度。
完成两项测试的儿童中，有 52 名（视力测试失败 3 名；照片筛查仪检查失败 49 名）被转诊进行检查。在 49 名照片筛查仪检查失败的儿童中，有 12 名被诊断为弱视：10 名（83.3%）为单侧弱视伴屈光参差性远视，2 名（16.7%）为双侧弱视伴散光和远视。照片筛查仪检测到了所有 12 例弱视，而家庭视力测试仅检测到了 2 例。超过 80%的 1035 名家长对照片筛查仪检查表示满意。
家庭测试容易忽略伴有屈光参差性远视的单侧弱视，但可以通过照片筛查仪检查发现。照片筛查仪被证明是一种有效的儿童弱视筛查工具，被相当比例的家长认为是一种令人满意的检查。
